Montgomery Pet Skin and Ear Clinic Dermatology Form

The skin is the largest organ of the body. It is so important for us to know what your pet's skin is exposed to both inside and out. We also need to know if there are diseases of the body that are affecting the skin. By knowing much of this information, we can rule in or rule out many diseases that could be causing your pet's skin problem.

This dermatology history form asks lots of questions. Please take some time and think about the answers. Then give the form to the receptionist or to a technician so the doctor can review it.